Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $18.20 / $67.61	Facility		$4.57	$18.20	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $25.12	Professional		$2.00	$3.02	$25.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $25.12 / $47.86	Facility		$19.05	$25.12	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $6.03 / $6.46	Professional		$3.16	$6.03	$6.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $7.59 / $9.55	Professional		$3.89	$7.59	$9.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $33.88 / $75.86	Facility		$3.80	$33.88	$75.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.34 / $7.24	Professional		$1.78	$2.34	$7.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Facility		$4.79	$4.79	$4.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,073.80	Facility		$3,467.37	$3,467.37	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $3.55 / $7.24	Facility		$1.78	$3.55	$7.24
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.34 / $4.37	Professional		$2.09	$2.34	$4.37